Healthcare Provider Details

I. General information

NPI: 1851238836
Provider Name (Legal Business Name): MICHAEL JAMES BOYLAN BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 BELMONT ST STE A
SOUTH EASTON MA
02375-1103
US

IV. Provider business mailing address

42 SKYLINE DR
WESTWOOD MA
02090-1070
US

V. Phone/Fax

Practice location:
  • Phone: 781-806-3007
  • Fax:
Mailing address:
  • Phone: 781-708-2341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: